Dress Shirt Order Form

: Short Sleeve (M500S) only - $29.00
: For long sleeve, brothers need to purchase a shirt from a retailer. We can have them embrodered
Brothers Name
Contact Info (Phone or Email)
Council 13341 or Assembly 3192: Council 13341Assembly 3192
Council or Assembly Logo
Size
Color
Embroidered Name? ($5): YesNo
: If there are any questions, contact Mike Chapman (rmichaelchapman9@icloud.com, 585-509-0610), Wayne Irvine (wirvine1222@gmail.com) or Dan Quirk (dquirkkc@gmail.com)

Knights of Columbus Council 13341